Community Nursing HESI Practice
EAQ's
A community health care nurse is conducting a survey about homeless children in the
community. Which finding helps the nurse distinguish absolute homelessness from relative
homelessness?
A. The children are underimmunized and at risk for childhood illnesses.
B. The children are more likely to drop out of school.
C. The children have access to health care only through the emergency department.
D. The children do not have a physical shelter and may sleep outdoors or in vehicles. - ANS - D
Public health organizations use the term absolute homelessness to describe people who have
no physical shelter. These children sleep outdoors, in vehicles, abandoned buildings, or other
places not intended for human habitation. Relative homelessness describes those who have a
physical shelter but one that does not meet the standards of health and safety. Children
experiencing both absolute and relative homelessness tend to be underimmunized and are at
risk for childhood illnesses. Both types of homeless children are unable to meet residency
requirements for public schools and are more likely to drop out of school. A lack of finances
leads both types of homeless children to seek health care only in emergency conditions.
\A home health nurse checks the client's vital signs and obtains a blood sample for an
international normalized ratio (INR). After these tasks are completed, the client asks the nurse to
straighten the blankets on the bed. Which response by the nurse is correct?
A. "I would, but my back hurts today."
B. "Okay. It will be my good deed for the day""
C. "Of course. I want to do whatever I can for you."
D. "I would like to, but it is not in my job description." - ANS - C
Helping the client meet physical needs is within the role of the nurse; arranging blankets on the
client's bed is an appropriate intervention.
The nurse's comfort needs should not take precedence over the client's needs; the nurse would
not assume responsibility for the role of care provider if incapable of providing care. This act is
not a good deed but fulfills the expected role of the nurse; this response sounds grudgingly
compliant. Straightening the blankets is within the nurse's job description.
\A nurse is caring for a client attending a community-based health center and reviews the
client's medical record. Which recommendation would the nurse provide to the client?
----
CLIENT CHART:
, Healthcare provider progress note: Client has stage III rheumatoid arthritis, which is
progressively causing more joint deformity, stiffness, and pain.
Nurse's history and physical assessment: Client has ulnar drift on both hands and hallux valgus
deformity of both feet. Client reports pain when walking and joint stiffness for several hours in
the morning, particularly the small joints of the hands and feet. Joints of the hand reflect s/s of
inflammation (heat, swelling, tenderness).
Laboratory results:
Rheumatoid factor (RF): 1:70 (positive for RA)
Erythrocyte sedimentation rate (ESR): 40 mm/hour
C-reactive protein (CRP): 20 mg/dL
WBC: 13,000/microL
----
A. Wring a sponge repeatedly when washing dishes
B. Install faucets - ANS - (C)
Pushing off the palms of the hands rather than the fingers uses the strongest joints available to
rise from a chair.
\A nursing student is listing factors that may improve the quality of life of clients in the
community with chronic leg ulcers. Which factor listed by the nursing student needs correction?
A. "Offer suggestions to improve a client's level of independence.
B. "Inform clients that the cost of care may be expensive and that the level of pain may
increase."
C. "Instruct clients that as their wounds heal, their capability and desire to socialize with others
may increase."
D. "Understand that some clients have depression and anxiety related to the chronic nature of
their wounds." - ANS - (B)
Nursing wound care specialists would inform the client that as the wound heals, the cost of care
may decline and pain may decline or resolve.
Nursing wound care specialists who visit clients' homes would offer suggestions to improve their
level of independence.
Nursing wound care specialists would inform clients that as wounds heal, their capability and
desire to socialize with others might increase.
Nursing wound care specialists would understand that some clients might have depression and
anxiety related to the chronic nature of their wounds.
\A senior high school student asks the school nurse which immunizations will be included in the
precollege physical. Which vaccine would the nurse tell the student to expect to receive?
EAQ's
A community health care nurse is conducting a survey about homeless children in the
community. Which finding helps the nurse distinguish absolute homelessness from relative
homelessness?
A. The children are underimmunized and at risk for childhood illnesses.
B. The children are more likely to drop out of school.
C. The children have access to health care only through the emergency department.
D. The children do not have a physical shelter and may sleep outdoors or in vehicles. - ANS - D
Public health organizations use the term absolute homelessness to describe people who have
no physical shelter. These children sleep outdoors, in vehicles, abandoned buildings, or other
places not intended for human habitation. Relative homelessness describes those who have a
physical shelter but one that does not meet the standards of health and safety. Children
experiencing both absolute and relative homelessness tend to be underimmunized and are at
risk for childhood illnesses. Both types of homeless children are unable to meet residency
requirements for public schools and are more likely to drop out of school. A lack of finances
leads both types of homeless children to seek health care only in emergency conditions.
\A home health nurse checks the client's vital signs and obtains a blood sample for an
international normalized ratio (INR). After these tasks are completed, the client asks the nurse to
straighten the blankets on the bed. Which response by the nurse is correct?
A. "I would, but my back hurts today."
B. "Okay. It will be my good deed for the day""
C. "Of course. I want to do whatever I can for you."
D. "I would like to, but it is not in my job description." - ANS - C
Helping the client meet physical needs is within the role of the nurse; arranging blankets on the
client's bed is an appropriate intervention.
The nurse's comfort needs should not take precedence over the client's needs; the nurse would
not assume responsibility for the role of care provider if incapable of providing care. This act is
not a good deed but fulfills the expected role of the nurse; this response sounds grudgingly
compliant. Straightening the blankets is within the nurse's job description.
\A nurse is caring for a client attending a community-based health center and reviews the
client's medical record. Which recommendation would the nurse provide to the client?
----
CLIENT CHART:
, Healthcare provider progress note: Client has stage III rheumatoid arthritis, which is
progressively causing more joint deformity, stiffness, and pain.
Nurse's history and physical assessment: Client has ulnar drift on both hands and hallux valgus
deformity of both feet. Client reports pain when walking and joint stiffness for several hours in
the morning, particularly the small joints of the hands and feet. Joints of the hand reflect s/s of
inflammation (heat, swelling, tenderness).
Laboratory results:
Rheumatoid factor (RF): 1:70 (positive for RA)
Erythrocyte sedimentation rate (ESR): 40 mm/hour
C-reactive protein (CRP): 20 mg/dL
WBC: 13,000/microL
----
A. Wring a sponge repeatedly when washing dishes
B. Install faucets - ANS - (C)
Pushing off the palms of the hands rather than the fingers uses the strongest joints available to
rise from a chair.
\A nursing student is listing factors that may improve the quality of life of clients in the
community with chronic leg ulcers. Which factor listed by the nursing student needs correction?
A. "Offer suggestions to improve a client's level of independence.
B. "Inform clients that the cost of care may be expensive and that the level of pain may
increase."
C. "Instruct clients that as their wounds heal, their capability and desire to socialize with others
may increase."
D. "Understand that some clients have depression and anxiety related to the chronic nature of
their wounds." - ANS - (B)
Nursing wound care specialists would inform the client that as the wound heals, the cost of care
may decline and pain may decline or resolve.
Nursing wound care specialists who visit clients' homes would offer suggestions to improve their
level of independence.
Nursing wound care specialists would inform clients that as wounds heal, their capability and
desire to socialize with others might increase.
Nursing wound care specialists would understand that some clients might have depression and
anxiety related to the chronic nature of their wounds.
\A senior high school student asks the school nurse which immunizations will be included in the
precollege physical. Which vaccine would the nurse tell the student to expect to receive?
